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Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted in the video. The direction of relatively quicker flow is the direction! In this case the direction of flow is away from the umbilicus. Dr. Arun Valsan @DrArunKValsan #Caput #Medusae #Portal #Hypertension #PhysicalExam #Milking #abdominal #clinical #video #flow #direction #veins #cirrhosis #hepatology